The nurse is preparing to administer Insulin Lispro (Humalog) to a client with Type 2 Diabetes Mellitus for carbohydrate coverage. The nurse understands the injection should be administered:

with the meal

post-prandial

pre-prandial

AC/HS

Answer and Explanation

The Correct Answer is A

A. With the meal:
Insulin Lispro is a rapid-acting insulin that is designed to be taken just before or with meals.
It helps control the rise in blood sugar that occurs after eating.

B. Post-prandial:
"Post-prandial" refers to after a meal. Insulin Lispro is usually administered before or with a meal to cover the increase in blood glucose that happens after eating.

C. Pre-prandial:
"Pre-prandial" refers to before a meal. This is accurate for Insulin Lispro, as it is given shortly before or with meals.

D. AC/HS:
"AC" stands for "ante cibum," which means before meals, and "HS" stands for "hora somni," which means at bedtime. This terminology is more commonly associated with the timing of oral medications rather than insulin.

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Correct Answer is C

Explanation

A. "The parathyroid has no effect on calcium levels in the body; this will just help prevent osteoporosis":
Explanation: This statement is incorrect. The parathyroid gland plays a crucial role in calcium homeostasis. Hypoparathyroidism, characterized by decreased parathyroid hormone (PTH) production, leads to low blood calcium levels, not high levels.

B. "The reason you have hypoparathyroidism is that you were diagnosed with hypothyroidism, and when the thyroid doesn't work, neither does the parathyroid, so you need these supplements."
Explanation: This statement is incorrect. The parathyroid and thyroid are separate glands with distinct functions. Hypoparathyroidism is not a result of hypothyroidism.

C. "A decrease in parathyroid hormone causes low calcium levels, so your body to break down bones to maintain normal calcium levels, and this will prevent that from happening."
Explanation: This is the correct statement. Hypoparathyroidism leads to a decrease in PTH, resulting in low blood calcium levels. Without sufficient PTH, the body may resort to breaking down bones to maintain calcium levels.

D. "An increase in parathyroid hormone causes your body to move calcium into the cells to reduce blood calcium levels, so you have to replace the levels in the blood."
Explanation: This statement is incorrect. An increase in parathyroid hormone (PTH) typically leads to increased blood calcium levels by promoting the release of calcium from bones and reducing calcium excretion by the kidneys. This describes hyperparathyroidism, not hypoparathyroidism.

A. Increase the intake of vitamin E to enhance absorption. B. Iron will cause the stools to darken in color. C. Take the iron with dairy products to enhance absorption. D. Limit foods high in fiber due to the risk for diarrhea.

Correct Answer is B

Explanation

A. Increase the intake of vitamin E to enhance absorption:
While vitamin C can enhance iron absorption, vitamin E does not play a significant role in iron absorption. Vitamin C-rich foods can be advised to enhance iron absorption.

B. Iron will cause the stools to darken in color:
This statement is accurate. Iron supplements can cause stools to appear darker in color, often black or greenish-black. This change in stool color is normal and expected when taking iron supplements.

C. Take the iron with dairy products to enhance absorption:
Dairy products can inhibit iron absorption. It's better to take iron supplements with vitamin C-rich foods or orange juice to enhance absorption.

D. Limit foods high in fiber due to the risk for diarrhea:
Fiber-rich foods do not necessarily need to be limited when taking iron supplements. However, some individuals may experience constipation when taking iron supplements, in which case increasing fluid intake and dietary fiber can help alleviate constipation.

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The nurse is preparing to administer Insulin Lispro (Humalog) to a client with Type 2 Diabetes Mellitus for carbohydrate coverage. The nurse understands the injection should be administered:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is instructing a client with newly diagnosed hypo-parathyroidism about this disorder. The nurse explains to the patient that the physician has prescribed daily supplements of calcium and vitamin D. Which education by the nurse is appropriate for this patient?

Correct Answer is C

Explanation

A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?

Correct Answer is B

Explanation

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The nurse understands causes of respiratory acidosis include: (SELECT ALL THAT APPLY)

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